Director of Revenue Cycle in Addison, Texas at Solis

Date Posted: 11/10/2019

Job Snapshot

Job Description

The Revenue Cycle Director is responsible for providing oversight of revenue cycle operations for Solis Mammography. This position will manage Solis’ revenue cycle models, outsourced and internal and our JV business partners to maximize our collection. 

The Director is will work with operations departments and the accounting team, in addition to the third party providers (Parallon, future hospital systems and McKesson). This position is responsible for oversight of performance metrics including actual vs expected collection. The Director will be responsible for implementing policies and procedures in accordance with legal and compliance requirements.

RESULTS MEASURED BY THE FOLLOWING RESPONSIBILITIES:

  • Understands, promotes and demonstrates the Solis Way
  • Lead the current in-house revenue cycle operations including patient accounts and insurance verification staff. Provide direction and guidance that fosters a high-performing team environment through training, managing to metrics and development.
  • Manage and analyze the metrics of the revenue cycle operations and drive the consistent reporting across the revenue systems. Work with the accounting team to ensure the alignment of revenue recognition and the reserving or oversight of bad debt and write-offs.
  • Analyze accounts receivable and collection data and extract it into meaningful presentations and actions. Identify the issues and action plans to address.
  • Manages the effective communication with Solis’ business partners across all revenue cycle functions
  • Develops and maintains external professional relationships with payers, professional associations, regulatory agencies and other healthcare organizations to monitor and influence.
  • Monitors revenue cycle performance metrics to drive continuous improvement efforts in all areas of the revenue cycle providing regular updates to the CFO and Controller to ensure prompt attention to areas of concern.
  • Leads the technology strategies of the revenue cycle.
  • Lead the integration and act as a business partner to our JV hospital systems as it relates to their billing and collection on behalf of the JV.
  • Monitor, take action and communicate issues on bad debt reserves, contractual and write-offs.
  • Develop the revenue cycle operational and budgetary decisions.

Coordinates with Managed Care or contracting to provide payor issues and pertinent information to help drive the corporate payor strategies

 

Job Requirements

SKILLS/QUALIFICATIONS:

  • A proactive problem solver. Ability to understand and deal effectively with issues and opportunities
  • Ability to understand major objectives or goals and break them down into meaningful action steps
    • A change agent and capable of guiding organizational leaders in initiating various change management initiatives with the view of leading and guiding the organization towards the future revenue cycle model
    • Superior judgment, negotiation, and decision-making skills
  • Strong communication skills in both written, and verbal/presentation
  • Extensive knowledge of Medicare, Medicaid, and general third-party payer - billing and follow-up practices
  • Proven ability to motivate, manage, coach and mentor both supervisory and staff level team, members

 MINIMUM EDUCATION & EXPERIENCE REQUIREMENTS:

    • Minimum eight (8) years of relevant, progressive experience in a management role
    • Three (3) years of concurrent experience in a revenue cycle capacity (in an acute setting or physician practice is preferred)
    • Bachelor’s degree in healthcare administration, business or other related fields
    • Full revenue cycle experience from beginning to end – including but not limited to: net days sales outstanding; AR aging; cash collections as a percentage of net patient revenue; denial rates; favorable customer service scores; net revenue discharge; bad debt as a percentage of net patient revenue
  • Strong background in financial management and knowledgeable of federal and state laws and requirements relating to healthcare management